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非小细胞肺癌中免疫检查点抑制剂相关肺炎:综述

Immune checkpoint inhibitor-related pneumonitis in non-small cell lung cancer: A review.

作者信息

Hao Yuxuan, Zhang Xiaoye, Yu Li

机构信息

Department of Oncology, Shengjing Hospital of China Medical University, Shenyang, China.

出版信息

Front Oncol. 2022 Aug 16;12:911906. doi: 10.3389/fonc.2022.911906. eCollection 2022.

Abstract

Immune checkpoint inhibitors (ICIs) have shown definite therapeutic effects in various types of cancers, especially non-small cell lung cancer (NSCLC). However, ICIs have unique side effects, called immune-related adverse events (irAEs), which can occur in various systems throughout the body. Among such irAEs, immune checkpoint inhibitor-related pneumonitis (ICI-P) is a fatal adverse reaction. In this review, we discussed the risk factors, pathogenesis, clinical characteristics, radiological manifestations, pathological features, diagnosis, grading, and management of ICI-P in NSCLC and the relationship between ICI-P and the efficacy of ICI therapy. In addition, we discussed the predictive factors for ICI-P. This review will play a crucial role in the prediction, evaluation, and management of ICI-P for widespread application of immunotherapy.

摘要

免疫检查点抑制剂(ICIs)已在多种类型的癌症中显示出确切的治疗效果,尤其是非小细胞肺癌(NSCLC)。然而,ICIs具有独特的副作用,称为免疫相关不良事件(irAEs),可发生于全身各个系统。在这些irAEs中,免疫检查点抑制剂相关肺炎(ICI-P)是一种致命的不良反应。在本综述中,我们讨论了NSCLC中ICI-P的危险因素、发病机制、临床特征、影像学表现、病理特征、诊断、分级和管理,以及ICI-P与ICI治疗疗效之间的关系。此外,我们还讨论了ICI-P的预测因素。本综述将在ICI-P的预测、评估和管理中发挥关键作用,以促进免疫疗法的广泛应用。

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本文引用的文献

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Community-acquired pneumonia.社区获得性肺炎。
Lancet. 2021 Sep 4;398(10303):906-919. doi: 10.1016/S0140-6736(21)00630-9.
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Imaging Features of Pulmonary Immune-related Adverse Events.肺部免疫相关不良事件的影像学特征。
J Thorac Oncol. 2021 Sep;16(9):1449-1460. doi: 10.1016/j.jtho.2021.05.017. Epub 2021 Jun 1.
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CA Cancer J Clin. 2021 Jan;71(1):7-33. doi: 10.3322/caac.21654. Epub 2021 Jan 12.

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